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General NPI Number Information
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NPI Number | 1275801185
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Entity Type | Individual
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Provider Name | MELISSA PAOLA MALAVE M.S., LPC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 287 MAIN ST
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City | EAST HARTFORD
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State | CT
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Zip | 06118-1885
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Country | US
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Telephone | 860-716-2518
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Fax |
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Provider Business Mailing Address
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Address Line | 164 ROLLING MEADOW DR
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City | EAST HARTFORD
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State | CT
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Zip | 06118-1729
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Country | US
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Telephone | 860-716-2518
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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